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Two months ago the world’s fattest woman was flown to Mumbai, India to undergo a gastric bypass surgery in the hopes she could shed her title.
However, Eman Ahmed Abdulati said that after the band was fitted, doctors refused to continue caring for her.
According to Eman, medics from the Mumbai hospital told the 79st woman that she should return home to Egypt and continue her new diet and rehabilitation programme there.
They said there was nothing left they could do for her – a move that infuriated her family.
Eman’s sister feared she would slip back into her old habits if left to her own devices and so found another hospital – Burjeel Hospital in Abu Dhabi – who agreed to oversee the rest of her care.
When the 36-year-old was admitted to hospital in May she weighed a whopping 79st – over half a tonne.
Her goal is to lose 64st and reach the healthier weight of 15st – how much weight she has lost so far has not been disclosed.
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Dr Shamsheer Vayalil, the VPS Healthcare managing director who is overseeing the Egyptian woman’s progress, said: “There are two things we want to keep aside – one is the cost as this is a humanitarian approach and the other is weight.
“We are taking utmost care like a family member. There has been a lot of sensitivity around her weight issue. We want to ensure the privacy of the patient is respected.
“She has reduced [weight], trimmed down and is looking much better.
“This will take time and there’s no magic cure. We are willing to walk all that distance with the family.”
World’s fattest woman sheds half her weight
Shamsheer said they hope Eman will be able to do talks on healthy eating once she has lost the weight and be an ambassador for the obesity epidemic.
Once she has lost the remaining weight, Eman will need surgery to her improve her joints which have eroded from the strain they have been under
MaryKate Schmidt losses 1 st 11 lbs Just six weeks after beginning a weight loss programme
When MaryKate Schmidt was just 14-years-old, she contracted MRSA bacteria which can be fatal and resulted in her legs being covered in spots.
This led to her being bullied as a teen and so she turned to comfort eating to cope.
She would eat around 1,200 calories during the week – a woman’s daily recommended calories is 2,000 – and would binge on junk food on the weekend.
The now 26-year-old’s yo-yo dieting led her to gain 2st – something she couldn’t shake for years.
Of contracting the MRSA infection, MaryKate said: “I woke up with three spots on my legs that looked like bug bites, so I thought nothing of them.
“Then before I knew it, my leg was covered in almost blister-like lesions. I went straight to the dermatologist and they took cultures which identified that it was MRSA.
“I was put on medication to get rid of the infection. We didn’t catch it early enough, so the disease ate away at my legs leaving behind crazy scars.
“I was so embarrassed by them because no one wanted to sit next to me as they thought they would get the disease.”
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To get rid of the scarring, MaryKate had laser surgery once a month for a year.
When she was 21, MaryKate decided to give up her passion of volleyball – but she felt lost and again turned to alcohol and junk food for comfort.
MaryKate was depressed and looking for a way to feel better when she came across the BBG programme.
BBG (Bikini Body Guide) was developed by fitness superstar Kayla Itsine and consists of a 12-week programme where users do three to four 28-minute circuit workouts per week plus cardio.
MaryKate explained: “I began eating lean protein, healthy carbs and good fats every two to three hours to maintain my lean physique.
“I don’t weigh my food, track macros or do any insane diets. I make sure I shop the perimeter of the grocery shop and try to limit food out of a box.
“I am so much happier. I feel amazing in my own skin and I feel like I can accomplish anything that comes my way.”
Just six weeks after beginning the programme, MaryKate had lost 1st 11 lbs.
She said her best advice is to “just start”: “I know it’s scary. I know you’ll feel like you won’t see results, but don’t be scared to ask questions and do your research.”
*“Results for gastric sleeve surgery in France are not guaranteed and will vary from person to person“
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Having weight-loss surgery before you become severely obese tends to achieve better results, a new study finds.
Researchers found that people who underwent bariatric surgery when their body mass index (BMI) was less than 40 were more likely to achieve a BMI below 30 (overweight but not obese) compared to those with a higher body mass index, researchers.
For example, a 5-foot-5 woman weighing around 180 pounds has a BMI of 30. A BMI of over 40 (for example, the same woman weighing 240 pounds or more) is extremely obese.
“Bariatric surgery is extremely safe and effective and should be considered as first-line therapy for patients with a BMI between 35 and 40,” said lead researcher Dr. Oliver Varban. He’s director of bariatric surgery of the University of Michigan Health Systems.
“Waiting to reach a BMI of 50 or more only serves to limit the benefits of bariatric surgery,” he said.
More than one-third of American adults are classified as obese. Besides weight loss, bariatric surgery can improve obesity-related conditions such as diabetes, high blood pressure, high cholesterol and sleep apnea. Obese people also have a higher risk for premature death, the researchers said in background notes.
“With obesity, just like any chronic progressive disease, the earlier you intervene the better your outcomes will be,” said Dr. Stacy Brethauer, president of the American Society for Metabolic and Bariatric Surgery.
People for whom bariatric surgery is an option have a BMI of 35 or higher plus diabetes or another obesity-related disease, or a BMI over 40 without another condition, said Brethauer, a bariatric surgeon at the Cleveland Clinic.
“I would tell patients, if your BMI is over 30, you need to ask your physician to help manage your obesity,” Brethauer said. “If your BMI is over 35, you need to start having discussions about effective treatment, which right now is bariatric surgery.”
Currently, only about 1 percent of people eligible for bariatric surgery get the operation, he said.
“There is a fear of surgery and a reluctance of physicians to refer patients for surgery,” Brethauer said. “But there is ample evidence that bariatric surgery is safe and effective.”
For the study, Varban and colleagues collected data on more than 27,000 patients who had bariatric surgery in Michigan between 2006 and 2015.
A year after surgery, 36 percent of patients had a BMI of less than 30, which is considered an important goal.
Those patients were more likely than others to have had a pre-operative BMI of less than 40.
With a final BMI of less than 30, patients had a better chance of discontinuing medications for diabetes, high blood pressure and high cholesterol. They were also more likely be cured of sleep apnea, a sleep disorder related to obesity, the study found.
The type of surgery also made a difference.
Procedures that permanently reduced the size of the stomach or bypassed it — sleeve gastrectomy, gastric bypass or duodenal switch — were more likely to result in the healthier BMI compared with adjustable gastric banding, a reversible procedure, Varban said.
Less than 9 percent of patients with a BMI above 50 achieved the below-30 BMI goal, he said.
The report appeared online in July in the journal JAMA Surgery.
Dr. Mitchell Roslin is chief of obesity surgery at Lenox Hill Hospital in New York City. He agreed that earlier surgery often pays bigger dividends in terms of weight loss and related medical problems.
But Roslin cautioned that having surgery doesn’t mean you will achieve a normal weight.
Also, patients have to consider the benefits and risks of each procedure, he said.
The more aggressive the procedure, the greater the weight loss — but there’s also a higher risk for side effects, Roslin said.
“The more we change the stomach and intestine, the more the weight loss and the lower the odds of regaining weight,” he said. “But the odds are higher of frequent bowel movements and the need to take micronutrient supplements.”
Another specialist stressed that losing weight at any level of obesity is beneficial.
“Weight loss at whatever point you start is good,” said Dr. Bruce Wolfe, a professor in the division of bariatric surgery at Oregon Health and Science University.
Everybody who has a BMI of 50 or 60 at one point had a BMI of 40, said Wolfe, co-author of an accompanying journal editorial.
Getting bariatric surgery earlier might prevent patients from reaching a BMI of 50 or more, but even those who are severely obese can benefit from weight-loss surgery, Wolfe said.
You’re an obese adult, especially if you have a weight-related condition, such as type 2 diabetes. You know the risks and benefits. You’re ready to adjust how you eat after the surgery. You’re committed to making lifestyle changes to keep the weight off.
The cost of surgeries carried out in public hospitals in Ireland for the treatment of morbid obesity soared by 50pc last year to more than €1m.
A total of 112 morbidly obese patients underwent procedures to surgically limit their food intake and reduce their weight at a total cost of €1,029,908.
The number of people undergoing such operations each year has more than doubled since 2010 as the country’s obesity crisis has worsened.
Ireland is on course to become the fattest nation in Europe within the next decade, acc- ording to the World Health Organisation.
During the past eight years more than €5.2m has been spent on bariatric surgery – the term covering various types of procedures for the treatment of morbid obesity including Gastric band surgery,Gastric Bypass Surgery and Gastric Sleeve surgery- for 637 patients in public hospitals.
The costly operations are designed to encourage weight loss by surgically altering the process of digestion or by reducing the size of a patient’s stomach to limit food intake.
Surgeries performed include gastric bypass procedures, which redirect food away from some parts of the stomach and small intestine so that the body absorbs fewer calories.
There is also gastric band, in which a band is placed around the upper part of the stomach to reduce its capacity so that the patient feels full after eating a small amount of food.
Bariatric procedures are carried out almost exclusively in two public hospitals – St Vincent’s University Hospital in Dublin and University Hospital Galway (UHG). Some services are also provided at South Infirmary in Cork.
An HSE spokesperson said surgical interventions for morbid obesity are performed on the basis of a clinical diagnosis by a medical consultant.
The figures, which were released under the Freedom of Information Act, show that each procedure cost an average of more than €9,000.
From a report in the “Herald IE” by Darragh McDonagh – 24 July 2017 02:30 AM
Private Weight Loss Surgery Options
For patients from Ireland who do not want to wait for weight loss surgery, or who marginaly fail to meet the criteria for Public Health surgery can always seek private surgery. The cost for bariatric surgery in Ireland at Private clinics is very expensive and many people decide to opt for surgery abroad.
Where are the Best prices for gastric band surgery abroad?
The best prices are to be found in France.
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*“Results for gastric sleeve surgery in France are not guaranteed and will vary from person to person“
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